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Temporary atrial septal defect balloon occlusion test as a must in the elderly

2023-01Journal article Open access
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dc.contributor.authorAlexandre, André
dc.contributor.authorLuz, André
dc.contributor.authorde Frias, André Dias
dc.contributor.authorSantos, Raquel Baggen
dc.contributor.authorBrochado, Bruno
dc.contributor.authorOliveira, Filomena
dc.contributor.authorSilveira, João
dc.contributor.authorTorres, Severo
dc.date.accessioned2024-07-04T08:58:59Z
dc.date.available2024-07-04T08:58:59Z
dc.date.issued2023-01
dc.description.abstractBackground: Atrial septal defect (ASD) can often remain asymptomatic until adulthood. It still remains unclear whether large ASD closure in senior people should be performed or not. Temporary ASD balloon occlusion test has been suggested as a tool to assess the risk of acute left ventricular heart failure post-ASD closure, and it allows to better distinguish responders from non-responders. Case presentation: An 83-year-old man with a long-standing uncorrected secundum ASD was admitted for recently decompensated right-sided heart failure. During hospitalization, this patient was studied with trans-esophageal echocardiography, cardiac magnetic resonance imaging, and right heart catheterization, showing high Qp:Qs ratio and favorable anatomical conditions for percutaneous closure. Because of patient's increasing need for intravenous diuretics and worsening renal function, it was considered that transcatheter ASD closure could improve symptoms, hence it was performed an attempt of percutaneous closure of the ASD with a fenestrated device. Unfortunately, irrespective of ASD being hemodynamically significant, it was found a very significant increase in pulmonary capillary wedge pressure during the temporary balloon occlusion test, supporting the existence of concealed left ventricular diastolic dysfunction. As a result, it was decided to abandon the procedure and not to close the ASD. Conclusion: This clinical case illustrates the value of temporary balloon occlusion test before permanent percutaneous closure of ASD in elderly patients, regardless of left ventricular (systolic or diastolic) dysfunction.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAlexandre A, Luz A, de Frias AD, et al. Temporary atrial septal defect balloon occlusion test as a must in the elderly. BMC Cardiovasc Disord. 2023;23(1):15. doi:10.1186/s12872-023-03046-9pt_PT
dc.identifier.doi10.1186/s12872-023-03046-9pt_PT
dc.identifier.issn1471-2261
dc.identifier.urihttp://hdl.handle.net/10400.16/2991
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBioMed Centralpt_PT
dc.relation.publisherversionhttps://doi.org/10.1186/s12872-023-03046-9pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectAtrial septal defectpt_PT
dc.subjectCase reportpt_PT
dc.subjectConcealed left ventricular diastolic dysfunctionpt_PT
dc.subjectElderlypt_PT
dc.subjectTemporary balloon occlusion testpt_PT
dc.subjectTranscatheter device closurept_PT
dc.titleTemporary atrial septal defect balloon occlusion test as a must in the elderlypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceEnglandpt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage15pt_PT
oaire.citation.titleBMC Cardiovascular Disorderspt_PT
oaire.citation.volume23pt_PT
person.familyNameAlexandre
person.familyNameLuz
person.familyNameBrochado
person.familyNameTorres
person.givenNameAndré
person.givenNameAndré
person.givenNameBruno
person.givenNameSevero
person.identifier.ciencia-id5110-718E-D5BA
person.identifier.ciencia-id3117-5106-43BC
person.identifier.orcid0000-0003-2465-2217
person.identifier.orcid0000-0002-2339-7341
person.identifier.orcid0000-0003-0107-5023
person.identifier.orcid0000-0002-7785-6291
person.identifier.ridADZ-9161-2022
person.identifier.scopus-author-id56019319200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationac2740f8-bbed-414e-9bce-68ed257afa94
relation.isAuthorOfPublication06585520-b729-428f-b140-c800372c9f87
relation.isAuthorOfPublicationa1fc254a-7b81-45a3-a7fe-be4e97074a39
relation.isAuthorOfPublicationa54a530e-1f4b-46fa-a69b-8207afcb0fd0
relation.isAuthorOfPublication.latestForDiscoveryac2740f8-bbed-414e-9bce-68ed257afa94

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